Organization
CHICAGOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA MARIE KARL (OFFICE MANAGER)
(702) 396-7689
Entity
Organization
Contact information
Practice address
7240 W AZURE DR, #165, LAS VEGAS, NV 89130-4405
(702) 396-7689
(702) 645-9958
Mailing address
7240 W AZURE DR, #165, LAS VEGAS, NV 89130-4405
(702) 396-7689
(702) 645-9958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1077
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V101462
MEDICARE GROUP
NV
Enumeration date
12/05/2007
Last updated
12/05/2007
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